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Contractor (! L imm, <br />Owner. <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Licensc No. — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Village Permit N2 1314 <br />Dalf, 7 146, <br />Lot Block—_ Subdivision -_-_ <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water su ply systems: Fee $ _ <br />Repai <br />Fee <br />Total amount paid to Village........ <br />S;gnaturc of applicant <br />Signature of Village Official <br />